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Individual

DAVID F DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8000 5 MILE RD, SUITE 310, CINCINNATI, OH 45230-2163
(513) 232-0120
(513) 232-8483
Mailing address
4380 MALSBARY RD, SUITE 200, CINCINNATI, OH 45242-5644
(513) 366-4488
(513) 366-4480

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35031757
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000215208
ANTHEM
OH
05
0262540
OH
01
0641478
AETNA
01
25-20413
UNITED
01
283794
AMERIGROUP MEDICAID OH
OH
01
311438871060
CARESOURCE MEDICAID OH
OH
01
31757-06
HUMANA
05
64866254
KY
Enumeration date
12/30/2005
Last updated
12/12/2007
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